Piechowiak H
Versicherungsmedizin. 1990 Feb 1;42(1):25-8.
An efficient medical rehabilitation is an important part of a modern health care system. There should be no doubts about its necessity. The medical rehabilitative system in Germany however, as it is organized by the sick-insurances and the annuity-insurances, does not fulfil all the claims urgently required. Much criticism seems really correct: the missing scientific basis of rehabilitation, the poor flexibility around the administrative procedures of application and performance, which is inadequate to medical needs, the nearly total absence of any negative selective criteria on the one hand and the huge problems in finding out those persons badly needing rehabilitative measures on the other, and last not least the uncertainty regarding the real economic benefits of the total enterprise of rehabilitation as it is actually practised.
高效的医学康复是现代医疗保健系统的重要组成部分。其必要性不容置疑。然而,德国由疾病保险和年金保险组织起来的医学康复系统,并未满足所有迫切需要的要求。许多批评似乎确实正确:康复缺乏科学依据,围绕申请和实施的行政程序灵活性差,无法满足医疗需求,一方面几乎完全没有任何负面筛选标准,另一方面在找出急需康复措施的人员方面存在巨大问题,最后但同样重要的是,就实际实施的整个康复事业的真正经济效益而言存在不确定性。